Active NPI
Michael Joseph Maxwell, MD
- Orthopaedic Surgery Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 1013033
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (177) 247-3006
- NPI assigned
- May 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4301114531 | MI | |
| Orthopaedic Surgery Physician | 207X00000X | 1013033 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
1 Nashua St Apt 3416
Boston, MA 02114-1644
Phone (989) 859-9346
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmaxwell483661@direct.beaumont.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Central Michigan College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4401 Campus Ridge Dr
Suite 2200
Midland, MI 48640-6127
Phone (989) 837-9192
Hospital & facility affiliations
- Mymichigan Medical Center Midland
- Mymichigan Medical Center Clare
- Mymichigan Medical Center Gladwin
- Mymichigan Medical Center Alma
- Mymichigan Medical Center West Branch
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 15 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301114531 | MI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients |
Locations
602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096
4401 N Campus Ridge Dr
Ste 2200
Midland, MI 48640
Phone (989) 832-0323
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
555 W Wackerly St
Ste 2600
Midland, MI 48640
Phone (866) 625-3570
4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250
3535 W 13 Mile Rd
Ste 744
Royal Oak, MI 48073
Phone (248) 551-1852
Interoperability endpoints
- mmaxwell122634@mymichiganhealth.midirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1205889490
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alma, MI
- NPI 1023097771
-
- General Acute Care Hospital
- Clare, MI
- NPI 1568414589
-
- Critical Access Hospital
- Gladwin, MI
- NPI 1235248071
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
-
- Family Medicine Physician
- West Branch, MI
- NPI 1518418292
Hospital
-
- General Acute Care Hospital
- West Branch, MI
- NPI 1538566765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1851880389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 NASHUA ST APT 3416",
"city": "BOSTON",
"state": "MA",
"postal_code": "021141644",
"telephone_number": "989-859-9346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "177-247-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-10",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301114531",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "1013033",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmaxwell483661@direct.beaumont.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3535 W 13 Mile Rd Ste 744",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480736770",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.